CARLTON RALPH DANIEL III MD
NPI 1639104904
Dermatology in Jackson, MS
About Carlton Ralph Daniel Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLTON RALPH DANIEL III MD (NPI 1639104904) is an individual dermatology provider in Jackson, Mississippi, licensed in Mississippi (7976) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlton Ralph Daniel Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carlton Daniel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carlton Daniel's NPI number?
The NPI number for Carlton Daniel is 1639104904. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Carlton Daniel located?
Carlton Daniel practices at 971 Lakeland Dr 659, Jackson, MS 39216. The listed phone number is (601) 362-8514.
What is Carlton Daniel's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Carlton Daniel enrolled in Medicare?
Yes. Carlton Daniel is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carlton Daniel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlton Daniel reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlton Daniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlton Daniel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Carlton Daniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carlton Daniel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carlton Ralph Daniel III, MD · NPI 1639104904
Dermatology physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1639104904 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 7976 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 971 LAKELAND DR, 659, Jackson, MS 39216-4609
- **Phone:** (601) 362-8514 · **Fax:** (601) 366-7621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 00019627 (MS); Medicare UPIN C48275
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Source: [NPI Profile](https://npiprofile.com/npi/1639104904) · Data from the CMS NPPES public registry.